Ryan P Dirks , PA-C
Physician Assistant - Medical โข Puyallup, WA
413 29th St Ne Ste I
Puyallup, WA 983727154
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Ryan Dirks is listed in NPPES under Physician Assistant - Medical.
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NPI assigned on September 12, 2007; this date does not establish years in practice.
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Published CMS data list 105 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99308 โ Subsequent nursing facility care with straightforward level of medical decision making, per day: 38 service units.
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 33 service units.
- 11042 โ Removal of skin and tissue, 20.0 sq cm or less: 19 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 42 Medicare Part D prescriptions, including refills, in 2014.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2014. Published rows only; this is not a quality measure.
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Published Part D records, 2014:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 30 prescription fills, including refills.
- Oxycodone Hcl โ 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2014. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant - Medical in Puyallup, WA (2024, 14 clinicians with data). Median for this group: 358. Middle half: 107 to 2,044.
Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant - Medical in Washington (2024, 422 clinicians with data). Median for this group: 223. Middle half: 84 to 501.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 377 in 2020 to 105 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
413 29th St Ne Ste I
Puyallup, WA 983727154
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant - Medical: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
46 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $6,998 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $5,442 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
42 standardized 30-day fills in 2014
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$372 in 2014
The total cost of these prescriptions in 2014, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2014.
Open Payments general payments, program year 2025
All general payments: $2,858.06 across 4 records.
By nature of payment
- Consulting Fee: $2,100.00 across 1 record.
- Travel and Lodging: $719.60 across 2 records.
- Food and Beverage: $38.46 across 1 record.
Reporting-company totals
- Reprise Biomedical, Inc.: $2,858.06 across 4 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Ryan Dirks has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Ryan Dirks as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Puyallup and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant - Medical in Puyallup, WA (2024, 14 clinicians with data). Median for this group: 358. Middle half: 107 to 2,044.
Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant - Medical in Washington (2024, 422 clinicians with data). Median for this group: 223. Middle half: 84 to 501.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant - Medical in Puyallup, WA (2024, 14 clinicians with data). Median for this group: $22,799. Middle half: $8,112 to $102,337.
A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant - Medical in Washington (2024, 422 clinicians with data). Median for this group: $17,684. Middle half: $6,200 to $35,826.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant - Medical in Puyallup, WA (2024, 14 clinicians with data). Median for this group: $16,822. Middle half: $6,132 to $68,880.
A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant - Medical in Washington (2024, 422 clinicians with data). Median for this group: $12,515. Middle half: $4,488 to $25,550.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Ryan Dirks are from 2014.
29 active clinicians are listed under Physician Assistant - Medical with a practice address in Puyallup, WA (1,068 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Puyallup
0% of these 29 clinicians have the CMS telehealth indicator.
48.3% of these 29 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 72% from 377 in 2020 to 105 in 2024.
- 2020: 377
- 2021: 488
- 2022: 340
- 2023: 377
- 2024: 105
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Medicare-allowed amount
Medicare-allowed amount decreased 81% from $36,086 in 2020 to $6,998 in 2024.
- 2020: $36,086
- 2021: $45,532
- 2022: $31,286
- 2023: $77,370
- 2024: $6,998
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Paid by Medicare
Paid by Medicare decreased 80% from $27,165 in 2020 to $5,442 in 2024.
- 2020: $27,165
- 2021: $34,662
- 2022: $24,689
- 2023: $61,388
- 2024: $5,442
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 79% from 203 in 2013 to 42 in 2014.
- 2013: 203
- 2014: 42
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30-day fills
30-day fills decreased 79% from 203 in 2013 to 42 in 2014.
- 2013: 203
- 2014: 42
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Part D drug cost
Part D drug cost decreased 92% from $4,565 in 2013 to $372 in 2014.
- 2013: $4,565
- 2014: $372
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $19.77 in 2021 to $2,858.06 in 2025.
- 2021: $19.77
- 2023: $110.89
- 2024: $150.92
- 2025: $2,858.06
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2014), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $2,858.06.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Reprise Biomedical, Inc. |
Consulting Fee
Cash or cash equivalent
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Miro3D | General | $2,100.00 |
| Reprise Biomedical, Inc. |
Travel and Lodging
Cash or cash equivalent
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Miro3D | General | $445.60 |
| Reprise Biomedical, Inc. |
Travel and Lodging
Cash or cash equivalent
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Miro3D | General | $274.00 |
| Reprise Biomedical, Inc. |
Food and Beverage
In-kind items and services
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Miro3D | General | $38.46 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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38 | 12 | $112.00 | $67.90 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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33 | 12 | $149.00 | $98.05 |
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11042
Removal of skin and tissue, 20.0 sq cm or less
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19 | 11 | $206.00 | $54.32 |
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93922
Ultrasound study of arm and leg arteries
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15 | 14 | $149.00 | $9.98 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2014.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 30 | 164 | $271.21 | 19 |
| Oxycodone Hcl | Oxycodone Hcl | 12 | 69 | $100.40 | 12 |
Source: CMS Part D by Provider and Drug, 2014; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-09-27NUCC Taxonomy Code: 363AM0700X
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20080501000727
WA
1153417597
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 413 29TH ST NE STE I, PUYALLUP, WA 983727154 (Tel: 8552551750)
Registered at 413 29TH ST NE STE I, PUYALLUP, WA 983727154 (Tel: 8552551750)
Physician Assistant (license number reported to NPPES: WA PA10005250)
NPI status registered as active in NPPES database
Registered at 1314 8TH ST NE STE 101, AUBURN, WA 980024587 (Tel: 2538042788)
Registered at 1314 8TH ST NE STE 101, AUBURN, WA 980024587 (Tel: 2538042788)
Recorded as RYAN DIRKS, PA-C
Physician Assistant (license number reported to NPPES: WA PA10005250)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistant - Medicals in Puyallup
- Andrew Poplawski, PA-C
- Fassil Belay, PA-C
- Carolyn O'brien, PA-C
- Andrea Dunn, PA
- Joshua Keanu, PA-C
- Eunice Park, PA-C
Mailing Address
413 29th St Ne Ste I
Puyallup, WA 983727154
Phone: 8552551750